HomeMy WebLinkAbout0124491-Building (soffit/facia)
o
OSHKOSH
ON THE WATER
Job Address 925 CENTRAL ST
CITY OF OSHKOSH No 124491
BUILDING PERMIT - APPLICATION AND RECORD
Owner DANIEL J/JENNIFER L BESAW Create Date 04/30/2007
Designer
Contractor OWNER
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
'q;.... 'C'l..:,,-!'i"':":'_'~::;;''':.:."'-,'r:;.. ......N" .'~'-' ""~:''''KO:O;:'",~_",:: :'0 "!,.., ;:-'''-;' -'~'~::~'..:;~-:;:.:~~:_~::;,-",,'; >:,;:'!;._',
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Sq. Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
Bedrooms Stories
Canopies
Garage
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature pFR /Install soffit & fascia.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $800.00 Plan Approval
Issued By: ~
$0.00 Permit Fee Paid
$25.00 Park Dedication
$0.00
Date 04/30/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1006970000
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
deSCribed_i~ permit a,. pplication wit' asement, the City strongly urges the permit applicant to contact the easement
holder(s) rd tOlsecure any.,n cessa ap r als before starting such activity.
Signatu~e ' ,i , Date
OSHKOSH
WI 54901 - 3701
Telephone Number
Address
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
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Building Permit Application ON THE WATER
If you are a contractor particiTJating in the Permit Fee Account System and have adequate funds. check here
if yOU want this TJrocessed through your account n
JOBADDRESS~() 5
oWNER1Xln i e ( ctAlld
r~i/tinL) 8-+
\llllut'iRr ~ac ^)
CONTRACTOR
I am the:
}('Owner
OR 0 Contractor
DSE CATEGORY
~ing1e Family DDuplex DMulti-Family DRental DCo:ri1mercial DIndustrial
Work being done:
o Addition
o Deck/Porcb/Patio
o Driveway/Parking
o External Remodeling
o Handicap Ramp
o Sign/Canopy! Awning
o Swimming Pool
~Other Sc(fi+ CL~j
o F encelHedgelKennel
o Hot Tub!Spa
o StairlHandrail
o Wrecking Permit
Qr:; cJQ
o Garage/Utility Structure
o Internal Remodeling
o StovelFireplace
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
.:. Full description of work being done:
Anv work not included in this application is not permitted.
Value of the job" $ ~OO' OC::> (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any ~eviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: \kn(l( ~( ~&S'(]uJ
q . ~I~'fu
Signature. 0 l1Aff !~CliJ. ')
Date: ~) \-~O) D1
I I
3/02